How can a nurse most effectively promote social contact and interaction in the long-term care facility?

a. Make a telephone available for family contact.
b. Post a list of activities on the bulletin board.
c. Tell the patient about social rooms in the facility.
d. Accompany the patient to a craft activity.


ANS: D
The proactive intervention combines the best of all interventions: one-on-one contact, showing interest, and providing support to the patient.

Nursing

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What instructions would be important to give to a 50-year-old patient with type 2 diabetes who has been switched from glyburide (DiaBeta) to repaglinide?

A) "It is less potent, so you will need to take a larger dose." B) "It stimulates insulin production, so you need to eat soon after taking the medication." C) "It is more potent and longer lasting, so you should take it every other day." D) "The two medications are virtually the same."

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A client of Native American descent comes to the hospital in early labor at 23 weeks' gestation. The client's parents, sisters, and brothers are with her as well as her husband. The client's family insists on remaining with her during labor

Hospital policy, however, limits visitors to two. Which action is most appropriate for the nurse to take in this situation? A) Ask the parents of the baby what their needs are regarding the family request. B) Call security to escort the family out of the hospital. C) Speak with the nurse manager about supporting the family's wishes. D) Show the family to the waiting room.

Nursing

Hypokinetic pulsations in the mitral area can be caused by

a. the presence of fluid between the left ventricle and the chest wall. b. decreased subcutaneous tissue in the individual. c. high-output states such as warm septic shock. d. left ventricular hypertrophy.

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A client tells the nurse that she has been using a health information website to find information about her illness. Which statement by the client does the nurse need to correct?

a. Some of the websites do not have very accurate information. b. All of my personal information will be kept secure. c. I should speak to my physician before us-ing any alternative therapies. d. Other clients seem to be having the same symptoms I have.

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